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Kentucky Family Dentistry, LLC

Company Details

Name: Kentucky Family Dentistry, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 06 Nov 2020 (5 years ago)
Organization Date: 06 Nov 2020 (5 years ago)
Last Annual Report: 17 May 2024 (a year ago)
Managed By: Members
Organization Number: 1119798
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40831
City: Harlan, Chevrolet, Smith
Primary County: Harlan County
Principal Office: 301 E Central Street, P O Box 842, Harlan, KY 40831
Place of Formation: KENTUCKY

Registered Agent

Name Role
Denise R Shumate Registered Agent

Organizer

Name Role
Denise R Shumate Organizer

Member

Name Role
Denise R Shumate Member

National Provider Identifier

NPI Number:
1548850027
Certification Date:
2021-01-19

Authorized Person:

Name:
DR. KAITLYN SKIDMORE PATEL
Role:
DENTIST
Phone:

Taxonomy:

Selected Taxonomy:
1223G0001X - General Practice Dentistry
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-05-17
Annual Report 2023-03-24
Annual Report 2022-05-29
Annual Report 2021-04-30

Sources: Kentucky Secretary of State